Abstract:
INTRODUCTION AND HYPOTHESIS:The impact of surgery on pelvic floor muscle (PFM) function remains uncertain. There is a pressure differential along the length of the vagina, influenced by surrounding active and passive tissue structures, giving rise to a pressure profile. The aim of this study is to determine if an intravaginal pressure sensor, femfit®, can measure differences in pressure profiles before and after surgery for pelvic organ prolapse (POP). METHODS:This pilot study includes 22 women undergoing POP surgery. Intravaginal pressure profiles were measured with femfit® pre- and post-surgery and differences tested using paired Student's t-tests. Patients completed validated questionnaires for vaginal, bowel, and urinary incontinence symptoms pre- and post-POP surgery and a femfit® usability questionnaire. RESULTS:Sixteen sets of vaginal pressure data were analysed. The highest pressure generated was identified as the peak PFM pressure, whilst all sensor measurements provided a pressure profile. Intra-abdominal pressure (IAP) was measured by the most distal sensor, 8. On average, the difference between peak PFM pressure and IAP was significantly greater post-surgery (p < 0.01). Urinary and vaginal symptom questionnaire scores were significantly improved after POP surgery. Femfit® usability questionnaires demonstrated high levels of patient acceptability. CONCLUSIONS:Women generate higher peak PFM pressures compared to IAP post-POP surgery, with pressure profiles that are comparable to women without POP. This metric might be useful to assess the outcome of POP surgery and encourage women to maintain this profile via PFM training, potentially reducing POP recurrence risk.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Marriott J,Pedofsky L,Smalldridge J,Hayward L,Budgett D,Nielsen PMF,Kruger Jdoi
10.1007/s00192-020-04576-ysubject
Has Abstractpub_date
2020-11-16 00:00:00eissn
0937-3462issn
1433-3023pii
10.1007/s00192-020-04576-ypub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:A variety of pharmacological and non-pharmacological interventions have been investigated, with the goal of relieving pain after post-episiotomy repair. We aimed to compare the efficacy of tramadol versus celecoxib orally in reducing pain after mediolateral episiotomy repair in obese primigr...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04411-4
更新日期:2020-07-20 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Vaginal pessaries may offer symptomatic improvement for women with pelvic organ prolapse (POP) or urinary incontinence (UI). This study aimed to investigate multidisciplinary perspectives on vaginal pessary use in clinical practice and to understand the service organisation of vaginal pessar...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1985-7
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Self-administered quality of life (QOL) questionnaires provide objective evaluation of an individual's symptoms. The Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) are condition-specific short form questionnaires. There are very few validate...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3318-3
更新日期:2017-12-01 00:00:00
abstract:AIM:A retrospective study of vesicouterine fistulae managed from 1996 to 2011 analyzed the incidence, symptomatology, diagnosis, and surgical outcome. PATIENTS & METHODS:During the study period, 17 patients were managed, of whom 14 underwent abdominal repair and three underwent vaginal repair. Mean patient age was 31....
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-012-1798-8
更新日期:2013-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To determine the clinical outcomes of adding a tension-releasing suture (TRS) appendage for manipulation of over-tensioned single-incision slings (SIS) as a means to relieve postoperative voiding dysfunction. METHODS:A retrospective observational study conducted from January 2010 to July 20...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3826-9
更新日期:2019-09-01 00:00:00
abstract::Aggressive angiomyxoma is a rare soft tissue tumor of the pelvis. Notorious for its locally infiltrative behavior, this tumor is identified by pathological appearance. Grossly gelatinous, spindle cells widely separated by collagen fibrils with vascular components can be microscopically visualized. Wide local excision ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1867-z
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION:With the publication of the updated US Food and Drug Administration (FDA) communication in 2011 on the use of transvaginal placement of mesh for pelvic organ prolapse (POP) it is appropriate to now review recent studies of good quality on POP to assess the safety and effectiveness of treatment options and ...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-012-2025-3
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION:Vacuum-assisted vaginal delivery (VAVD) is considered a major risk factor for obstetric anal sphincter injuries (OASIS). However, it is difficult to estimate its true contribution to the occurrence of OASIS, as its performance may be confounded by other determinants. Therefore, we aimed to evaluate the ass...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04534-8
更新日期:2020-09-30 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of our study was to assess the interobserver and intraobserver reliability as well as the content and construct validity of the FIGO prolapse assessment scoring system (FASS). METHODS:Women with and without (controls) symptoms of pelvic organ prolapse (POP) attending gynaecology out...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00192-014-2604-6
更新日期:2015-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The effect of pregnancy and mode of delivery on pelvic floor muscle function (PFMF) is unclear. Our aim was to prospectively evaluate the effect of pregnancy and childbirth on PFMF. METHODS:Subjective (Oxford scale) and objective (perineometry) assessments of PFMF were performed at 20 and 3...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1501-5
更新日期:2011-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:There is a difference of opinion in the literature as to whether pelvic organ prolapse (POP) is a direct cause of female sexual dysfunction (FSD). Sexual function in women is negatively impacted by the presence of urinary symptoms. Thus, sexual dysfunction (SD) might be improved, unchanged, ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3500-7
更新日期:2018-06-01 00:00:00
abstract:INTRODUCTION:This study investigated perioperative and mid-term clinical outcomes after laparoscopic sacrocolpopexy (LSCP) with light titanium-coated polypropylene (TCP) mesh in a large group of patients affected by International Continence Society stage II-IV pelvic organ prolapse (POP). METHODS:This multicenter retr...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04146-x
更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Urinary dipsticks and culture analyses of a mid-stream urine specimen (MSU) at 105 cfu ml-1 of a known urinary pathogen are considered the gold standard investigations for diagnosing urinary tract infection (UTI). However, the reliability of these tests has been much criticised and they may ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3472-7
更新日期:2018-07-01 00:00:00
abstract::We report a case of vesicocervical fistula following intrauterine device (Lippes loop) erosion following insertion 45 years ago. Vesicocervical fistula was suspected clinically. Ultrasound and magnetic resonance imaging confirmed the presence of a foreign body. Biopsy and magnetic resonance imaging were performed to r...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2667-z
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVES:Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic pain condition that requires multimodal management. The American Urologic Association includes sacral neuromodulation in the treatment algorithm for refractory IC/BPS. We sought to determine the rate of overall symptom improvement of IC/BPS sy...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04481-4
更新日期:2020-08-13 00:00:00
abstract:PURPOSE:Previous studies have included a limited number of randomized controlled trials (RCTs) and compared limited parameters after treatment with imidafenacin and other anticholinergic drugs (ADs) for overactive bladder syndrome (OAB), and controversy about the superiority of these ADs still remains. We aim to update...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-020-04329-x
更新日期:2020-05-14 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective was to report patterns of sling and transvaginal mesh-related complications using the IUGA/ICS classification of prosthesis-related complications. METHODS:This was a retrospective chart review of all patients who underwent surgical removal of sling, transvaginal mesh, and sacr...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s00192-015-2913-4
更新日期:2016-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:No previous studies have investigated the efficacy of mirabegron 50 mg as the first-line therapy in OAB patients. Hence, the primary objective of this study was to evaluate the efficacy of mirabegron in treatment-naive patients in comparison with those who had discontinued antimuscarinic the...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3219-x
更新日期:2017-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:A process of added qualification of transvaginal mesh (TVM) placement is desirable. METHODS:Through a physician-led partnership of specialty societies, centers of excellence, and industry, a core curriculum encompassing mesh/graft biology, technical skills, and safety can be coupled with cu...
journal_title:International urogynecology journal
pub_type: 共识发展会议,杂志文章
doi:10.1007/s00192-012-1679-1
更新日期:2012-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to compare the results of repair of isolated, recurrent, posterior vaginal wall prolapse using standard posterior colporrhaphy versus non-absorbable polypropylene mesh in a routine health care setting. METHODS:This cohort study was based on prospectively collected ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-03856-y
更新日期:2019-10-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3551-9
更新日期:2018-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study evaluated the efficacy and tolerability of transcutaneous posterior tibial nerve stimulation (TPTNS) in the treatment of overactive bladder (OAB) after failure of a first-line anticholinergic treatment. MATERIALS AND METHODS:We performed a prospective observational study and incl...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2359-0
更新日期:2014-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Robotic sacrocolpopexy is an effective and durable technique for pelvic organ prolapse repair. However, the learning curve for this procedure has underscored the need for an effective surgical training module. Given the cost, infection risk, poor tissue compliance, and scarcity of human cada...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03936-7
更新日期:2019-08-01 00:00:00
abstract::We present the case of a female aged 16 years, suffering from cyclical menouria for the last 3 years. Clinical examination revealed the absence of a vagina. Cystoscopy performed while the patient was having menouria revealed an orifice (10 × 8 mm) in the supratrigonal region; blood clots were entering the urinary blad...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1356-1
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of soy isoflavone extract (SIE) on the uterus and urethra of castrated female rats. METHODS:Ovariectomized adult virgin Wistar rats (n = 45) received, for 30 days: placebo (GI); SIE from day 5 of castration (GII); or day 28 of castration (GIII). A standardized SIE was administered by g...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-0995-6
更新日期:2010-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The protocol and analysis methods for the Defining Mechanisms of Anterior Vaginal Wall Descent (DEMAND) study are presented. DEMAND was designed to identify mechanisms and contributors of prolapse recurrence after two transvaginal apical suspension procedures for uterovaginal prolapse. METH...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04511-1
更新日期:2020-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The purpose of this study was to apply a human factors research approach to identify flow disruptions, deviations in the optimal course of care, in robotic abdominal sacrocolpopexy procedures with the ultimate goal of developing system interventions to improve the safety and efficiency of ro...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03929-6
更新日期:2019-12-01 00:00:00
abstract::Combining anti-incontinence and pelvic organ prolapse surgery for patients with occult urinary stress incontinence is controversial. The concern is that some of these patients may remain continent after vaginal prolapse repair making the addition of anti-incontinence surgery unnecessary. However, this can be explained...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1563-4
更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective was to assess the efficacy of intravesical hyaluronic acid (HA) and chondroitin sulfate (CS), alone or in combination, for recurrent urinary tract infections (RUTIs) in adult female patients using a systematic review and meta-analysis. METHODS:English-language articles were ob...
journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00192-017-3508-z
更新日期:2018-07-01 00:00:00
abstract:INTRODUCTION:In this retrospective study, a comparison is made of the clinical efficacy of two stress urinary incontinence treatment apparatuses, a single-incision sling and a transobturator sling. METHODS:Eighty-five (single-incision n=43, transobturator n=42) consecutive patients were included in this study. Clinica...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1942-5
更新日期:2013-05-01 00:00:00